Pseudo-Meig’s Syndrome associated with huge Uterine Leiomyoma and elevated CA-125- a Case Report

Background: Pseudo-Meigs syndrome consists of pleural effusion, ascites, and benign tumors of the ovary other than fibromas. These benign tumors include the tumors of fallopian tube or uterus, mature teratomas, struma ovarii, and ovarian leiomyomas. In a postmenopausal woman presence of complex pelvic mass, ascites, pleural effusion and raised tumor markers raises suspicion of malignancy. The case herein presented concerns a 45 years old postmenopausal woman with uterine leiomyoma presenting with pseudo-Meig’s syndrome.
Case report: A 45-year-old woman presented with with a huge pelvic mass, pleural effusion and high level of serum CA125. Cytological evaluation for the pleural fluid was performed. She underwent hysterectomy and bilateral salpingo-oophorectomy. The result of pathologic diagnosis was pseudomeig syndrome. The patient was well in postoperative period and paraclinical tests including CA 125 were normal as well.
Discussion: Diagnosis and management will be discussed. In the differential diagnosis of an pelvic mass in a patient presented with ascites, high CA 125 levels and pleural effusions, but with negative cytologic examination we should consider these benign gynecological conditions too.